Individual
DR. TIMOTHY JAMES PAGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1909
(570) 326-8200
(570) 320-7540
Mailing address
1201 GRAMPIAN BLVD, SUITE 1K, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD018499E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008611620002
—
PA
01
—
053838
HIGHMARK BLUE SHIELD
PA
01
—
112452
UNITEDHEALTHCARE
PA
01
—
217848
AETNA
PA
01
—
23097
GEISINGER HEALTH PLAN
PA
01
—
50054304
CAPITAL BLUE CROSS
PA
01
—
815726
FIRST PRIORITY HEALTH
PA
01
—
B34486
HEALTHAMERICA
PA
Enumeration date
03/31/2006
Last updated
10/21/2011
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